Rehabilitation and Therapy Commons^™

Nurture Your Infant And Yourself: A Breastfeeding Program, Kathryn J. Conrad

Occupational Therapy Capstones

No abstract provided.

Livin' Right! Morning, Noon, And Night: A Multi-Disciplinary Wellness Camp [For] Children With Obesity Issues, Lynne R. Bradbury

Occupational Therapy Capstones

The prevalence of childhood obesity is rapidly increasing in the United States and the percentage of overweight or obese children in South Dakota exceeds the objective set by the U.S. Department of Health and Human Services (2000). An extensive review of literature was completed on the prevalence and characteristics of obesity in children as well as interventions such as a multi-disciplinary team approach and family involvement. A review of the use of measurement tools both for screening and outcome measures was also conducted. There are significant health and societal impacts that accompany the increasing prevalence of obesity in our communities. …

Giving All Children A Good Start To School: A Protocol In Defining Occupational Therapist's Role In School Readiness, Specifically In The Smart Program, Melissa Boll

Occupational Therapy Capstones

More children are entering school "not ready." Current research is showing that many "healthy" children are entering school not developmentally ready for formal learning. Based my own experiences working as a school occupational therapist for the past four years in rural area schools, this new trend is becoming more apparent. Teachers and other school professionals have increasing concerns over the numbers of children that seem "clumsy" or "awkward" compared to their peers. Children are expected to learn more than ever before upon entering school, the curriculum is no longer age-appropriate due to the pushing down of academics. Upon entrance to …

There Is More To Vision Than Seeing Clearly, Dawn Cardinal, Genea Nannemann

Occupational Therapy Capstones

"Vision is not simply the ability to read a certain size letter at a distance of 20 feet. Vision is a complex and adaptable information gathering and processing system which collects, groups, analyzes, accumulates, equates, and remembers information" (American Optometric Association, 2005, p.1). The purpose of this project is to develop a parent/caregiver handbook that will educate parent/caregivers with children who have visual deficits and to benefit the Vision Therapy Project, which is located in Casper, Wyoming. This project is a non-profit organization dedicated to provide assistance and education to parents/caregivers with children in need of vision therapy. Information for …

Assistive Technology Guide For The Occupational Therapy Treatment Of Elementary School-Aged Children With Duchenne Muscular Dystropy, Kara Cook, Jessica Mcmahan

Occupational Therapy Capstones

No abstract provided.

School-Based Practice: Integrating The Occupational Therapy Practice Framework, Nancy M. Daly

Occupational Therapy Capstones

Occupational therapists in school-based practice frequently experience change due to the evolution of the profession and education reform. This project examines the impact of these changes relative to the integration of client-centered and occupation-based services in contemporary educational practice. Occupational therapists have identified significant barriers that impact the efficiency and effectiveness of service delivery. This paper, through the review of current occupational therapy and special education literature, explores the integration of collaboration, client-centered occupation-based care, and service delivery. The increasing requirements for accountability and professional standards define documentation needs. Findings indicate a need for school-based occupational therapists to have processes …

Universal Design: An Educational Presentation For Occupational Therapy Students, Steve Fugere, Heather Grasser

Occupational Therapy Capstones

Purpose: Universal design is an emerging practice area within the profession of occupational therapy. Because universal design is an emerging area, educational resources on the topic are limited. If practitioners wish to work in this emerging area, more knowledge and skills need to be developed. The purpose of this scholarly project was to create a resource that could be used to educate occupational therapy students on universal design concepts. Information included in the presentation will help students understand the role of the occupational therapist in the design process.

Method: A literature review was conducted to examine the impact of the …

A Model And Resource For Organizational Leadership For Occupational Therapists, April M. Kingsbury

Occupational Therapy Capstones

No abstract provided.

Body Mechanics Program For A Material Handling Environment, Jeremy Laine

Occupational Therapy Capstones

A series of improper body mechanics can lead to injury with in a manual material handling environment (Hagan, 2001). Improper body mechanics are a result of poor work habits that negatively reinforce a worker. When a worker in a manual material handling environment conducts his or her essential job functions, while ambulating to do their job, certain behaviors negatively reward a worker such as completing their tasks faster or what is perceived as more efficient. These behaviors specifically include, but are not limited to: increasing job pace or reckless speed, twisting repetitively, bending at the pelvis, back extension, forceful action, …

Traumatic Brain Injury (Tbi): Caregiver And Family Education Handbook, Heather Yekel, Breana Medlock

Occupational Therapy Capstones

Life can be very confusing for the friends, family member(s), and caretaker(s) of those individuals who are diagnosed with a Traumatic Brain Injury (TBI). The people who live with and care for the individual with a TBI want to know how they can help and what they can do to speed up the recovery. They also want to know what they can expect from their loved one, how much time the recovery will take, and what is causing the changes in their behavior?

A review of the literature was conducted and professionals, who are currently providing services to individuals diagnosed …

An Electromyographic And Electrogoniometric Study Of Stair Climbing With And Without The Use Of The Ez-Stepª And The Quad-Stepª, Rebecca Behrens, Catherine Gregoire, Tara Mathern, Jennifer L. Pederson

Physical Therapy Scholarly Projects

Purpose: The purpose of this study is to compare lower extremity muscle activity along with hip and knee ROM in an elderly population on stair ascent and descent using the EZ-StepTM and Quad-StepTM in comparison to traditional stair climbing.

Subjects: Twenty nine male and female adults volunteered for this study. Inclusion criteria included those 65 years of age and older, ability to climb three flights of standard stairs, and upper extremity strength to be able to manipulate the Quad-Step TM.

Instrumentation: The EZ-StepTM and Quad-StepTM are devices that decrease stair step height by one-half. The EMG activity and ROM was …

Variations In Emg Activity In Lower Leg Musculature With Use Of The Biomechanical Ankle Platform System (Baps), Carrie Carpenter, Andrea Lund, Jodi Sailer, Slinde Jessie

Physical Therapy Scholarly Projects

Ankle sprains account for 17% to 20% of all injuries in most sports. Other ankle conditions such as posterior tibialis tendon disorder and Achilles tendinosis are quite common in the nonathletic population and require many of the same interventions. Some of these interventions include range of motion, stretching, strengthening and proprioception. Many studies have shown that strength and proprioceptive training are the intervention of choice for those with lateral ankle instability. Many of these studies have supported the use of BAPS in improving proprioception among individuals with lateral ankle instability, however there is only one study examining the use of …

An Electromyographic Study Of Upper Trapezius, Lower Trapezius, And Serratus Anterior Muscle Activity During Traditional And Modified Muscle Testing Positions, Jace Everett, Mike Fowler, Jason Haak, Robby Luck

Physical Therapy Scholarly Projects

Purpose: The purpose of this study is to assess the muscle activity of the shoulder joint force couple induced by the upper trapezius, lower trapezius, and serratus anterior to determine if they are more effectively recruited during the traditional exercise position of forward shoulder elevation in 145° of shoulder abduction versus a modified position of shoulder external rotation while in 80° of shoulder abduction and 90° of elbow flexion

Methods: Nine participants took part in this randomized study in which EMG data was collected during 4 exercise trials of 10 repetitions each on the right shoulder. EMG activity was monitored …

Effectiveness Of Pressure Biofeedback In Activation Of Transversus Abdominis During The Abdominal Draw-In Maneuver, Jenni L. Freie, Jan L. Kruse, Amanda M. Kvien, Kimberly M. Rzeszutko

Physical Therapy Scholarly Projects

Study Design: Repeated Measures Design.

Objectives: To compare the recruitment of the transversus abdominis and internal oblique during the performance of the supine abdominal draw-in maneuver with the use of pressure biofeedback and without the use of pressure biofeedback. Muscle recruitment will be measured through the use of surface electromyography (EMG).

Background: Surface EMG reliability and validity is reported for transversus abdominis.

Methods: Thirty-nine healthy subjects of the ages 18 to 54 were tested. The subjects were instructed and performed practice trails of the supine draw-in maneuver with and without pressure biofeedback prior to data collection. EMG muscle activity was …

Balance Comparison Of Open- And Closed-Back Shoes, Tiffany Hemberger, Sara Henderson, Eric Loiland

Physical Therapy Scholarly Projects

A growing number of healthcare professionals have been choosing to wear an open-back shoe rather than a traditional closed-back shoe in the workplace. Healthcare professionals incorporate dynamic balance and quick reactions during direct patient interaction. The purpose of the study was to determine if dynamic balance would be affected in healthcare professionals when wearing open-back shoes versus closed-back shoes.

Thirty-two healthcare professionals or students of healthcare professions (28 females and 4 males) were recruited for this study. Subjects ranged in age from 20 to 62 years (mean age 28.2 years), with the majority being physical therapists or physical therapy students. …

The Short-Term Effects Of Magnetic Insoles On Pain And Function In A Population With Lower Extremity Osteoarthritis: A Pilot Study, Janice Holth, Sarah Barendt, Jennifer Surma

Physical Therapy Scholarly Projects

No abstract provided.

Motion Analysis Of A Back Handspring, Sarah Knoll, Jaclyn Minar, Melissa Moos

Physical Therapy Scholarly Projects

Purpose: The purpose of this study was to analyze the joint angles and segmental motion of gymnasts during a back handspring in a tumbling series. The difference in lower extremity motion of the individual gymnasts with different levels of experience was compared.

Subjects: 13 gymnasts were recruited by gymnastics coaches at Red River Valley Gymnastics. Only subjects with qualifications of being competitive in USA Gymnastics program, varying in levels 5-10, were included. Subjects were required to be able to perform a tumbling series consisting of a round off, a back handspring, and a back tuck-salto on a floor exercise mat …

Role Of Z-Coilª Shoes On Plantar Pressure Forces During Short Distance Walking, Tyler Volle, Michael Rider, Brett Jenks, Benjamin Deubner

Physical Therapy Scholarly Projects

Purpose: The Z-CoiL ® company has marketed a shoe that is advertised to decrease pressure and attenuation of forces on the foot, ankle, and other lower extremity joints. Evidence based studies, however, are lacking in support of this claim. The purpose of this study was to compare the peak pressure distributed onto the bottom of the foot from heel strike to midstance when walking bare foot, using a personal athletic shoe, and using a Z-CoiL ® shoe.

Subjects: Thirty subjects without any current history of orthopedic pathologies were examined in this study. Fourteen subjects were excluded from final data analysis, …

Metacarpal-Phalangeal Arthroplasty: A Post-Operative Approach, Lance Norman

Occupational Therapy Capstones

No abstract provided.

Caring For Your Lymphedema: A Guide To Everyday Action, Beryl J. Olson

Occupational Therapy Capstones

The purpose of this scholarly project is to present a workbook that assists patients with lymphedema and their therapists to develop a home management program that can successfully be integrated into the patient's daily occupations. The workbook utilizes the principles of the Occupational Adaptation theoretical frame of reference to guide the patient through the steps of making an adaptive response to the occupational challenge of lymphedema management. A review of the literature describes the physical aspects, psychosocial aspects, and the lived experience of the person with lymphedema. The literature review also indicates that currently the preferred method of treatment for …

Sensory Processing: A Guide For Parents And Community Professionals, Julie Yutrzenka

Occupational Therapy Capstones

Miller (2006) describes sensory processing as the way the nervous system receives sensory messages, processes the information, and responds to it. Sensory Processing Disorder is the inability to effectively process information received through the senses. This includes sensory information received through the five traditional senses of vision, hearing, touch, taste, and smell. It also includes information from the vestibular (movement) and the proprioceptive (muscle sense). Sensory Processing Disorder affects 1 in 20 children (Miller, 2006). Difficulties with sensory processing can negatively affect a child's participation in the daily occupations of play, learning, activities of daily living, and social interaction. Occupational …

A Treatment Protocol Utilizing Sensory Integrative Techniques For Treating Self-Mutilation, Nikki Stevens

Occupational Therapy Capstones

“It is estimated that one to two million people in the United States intentionally and repeatedly bruise, cut, burn, mark, scratch and mutilate different parts of their own bodies. This estimate represents only the adolescents and adults who actually seek help for the behavior” (Ferentz, 2002). The reasons for self-mutilation behaviors span across a considerable range from post-traumatic stress disorder to hypersensitivity. The research indicates parallels between children who have been sexually, physically, or emotionally abused and self-mulitlation. Basically, it is an unhealthy coping strategy to deal with overwhelming and intense feelings. The current treatment regime varies and includes: medication, …

Recreational Manual For Caregivers Of Individuals With Cerebral Palsy, Erica Bucher

Occupational Therapy Capstones

A brief literature review was conducted on cerebral palsy to gain general information and statistics. After reviewing the literature, it was noted that there is a significantly high number of children diagnosed with cerebral palsy each year. These individuals are at a high risk to experience the lack of opportunity for a wide choice of recreational activities. To understand the magnitude of the problem an extensive literature review was done on this topic. It was found that the lack of access and participation in independent recreational opportunities may lead to the development of dependent behavioral patterns, learned helplessness and depression. …

Eating Disorders: A Guide For The Occupational Therapist, Randi Horner

Occupational Therapy Capstones

Eating disorders are serious illnesses that can impact physical and mental health. Increasingly, occupational therapists encounter this population in general psychiatric hospitals and treatment facilities, as well as specialized eating disorders treatment facilities. Yet, questions concerning the role of occupational therapy in the treatment of eating disorders remain. The purpose of this project is to increase the awareness of the role of occupational therapy in the treatment of eating disorders by providing a guide for effective treatment of these illnesses. A literature review includes information regarding eating disorders, the demographics and diagnostic criteria of eating disorders, multidisciplinary treatment settings and …

Aquatic Therapy For Clients With Neurological Impairments: An Introductory Manual For Occupational Therapists, Jason C. Kjar

Occupational Therapy Capstones

No abstract provided.

Resource Manual For Rural Occupational Therapy Practitioners, Janae Marie. Hughes

Occupational Therapy Capstones

Rural hospitals have been an integral part of the culture of rural America, where clients were once able to seek services needed in their hometowns. Now more than ever, rural facilities are facing increased challenges to remain viable and at the same time continue to deliver high quality care to their communities (American Hospital Association, 2005). With small towns becoming smaller, it is becoming increasingly difficult to recruit allied health professionals to these areas. The reasons for this vary from area to area yet there are some commonalities such as; the misperceptions of limited community activities and resources, lower pay …

Training Assistance For Caregivers Working With Students With Traumatic Brain Injury, Randi L. Price

Occupational Therapy Capstones

Students who have suffered a traumatic brain injury (TBI) often require assistance from a variety of professionals and staff to complete their daily routines. Frequently it is a classroom assistant (paraprofessional), under the direction of a teacher, who attends to the student's basic and daily needs. Teachers and their assistants may receive some general training, but assistants, especially, are seldom offered an opportunity to attend trainings specific to managing the needs, difficulties, and behaviors that they are likely to encounter in their students. Unfortunately, according to J. Shuiz, Training Director and Special Education Services Coordinator for Natrona County School District …

A Sensory Processing Approach For Young Children With An Adversity To Eating, Zondra S. Thompson

Occupational Therapy Capstones

Eating and drinking are basic to our health and survival; it is also an integral part of our social life. For parents, feeding their children is a vital part of how they care for and nurture them. It is difficult for both the parents and the child when eating becomes a stressful experience. Children with sensory processing dysfunction often approach mealtimes with apprehension and discomfort. The willingness or inability to eat may be a sensory-processing based problem, which often exhibits as a behavioral problem such as, the child refusing to eat, to try new foods, or to touch different foods. …

Lumbar Spine Extension Mobility Increases With Longer Participation In Football, Matthew Linback, Nicole Nord, Kari Pedersen

Physical Therapy Scholarly Projects

Purpose: Football players are known to develop lumbar spine pathologies, especially extension pathologies (Le., spondylolysis and spondylolisthesis). This study examined the possibility of increased mobility in the lumbar spine with increased exposure to football, possible correlating the increased motion with lumbar spine pathologies. Extension of the lumbar spine in college football players was measured and the results of two groups were compared: those who had completed one or two years of eligibility versus those who had completed three or four years. The influence of the collision nature of football on lumbar extension was examined.

Subjects: Thirty-nine male collegiate football players …

Muscle Activation During Simulated Patient Transfers: Preliminary Study Of Experienced Versus Novice Patient Handlers, Benjamin Mitchell, Patrick Septon

Physical Therapy Scholarly Projects

Purpose: Back injuries are a common problem in providing health care and manually transferring patients can be a cause of back injuries. Because of this fact, there has been a need for research looking into safe methods for manually transferring patients. The intent of this study was to compare muscle recruitment patterns of novice and experienced health care professionals during a simulated patient transfer. By comparing the muscle activity of the experienced group to that of the novice group, we hoped to see differences that could be used to refine training techniques, thus increasing the safety of novice health care …